12. Your friend has high protein and sugar in her urine. She repeats the tests and determines that these components are repeatable, suggesting they are present in her urine. What does this signify to you, as her friend and primary care physician? Solution Everyone has protein in their blood. The main protein in your blood is called albumin. healthy kidneys should only filter tiny (trace) amounts into the urine as most protein molecules are too large for the filters (glomeruli). When she have protein in her urine, it is called proteinuria (or albuminuria), which is usually a sign of chronic kidney disease. As proteinuria progresses, oedema may occur. High levels of glucose in her urine may indicate hyperglycemia, or high blood sugar, which often indicates the onset of diabetes. Untreated hyperglycemia can lead to ketoacidosis, which can result in diabetic coma and even death. Possible causes of proteinuria: 1. Diseases of the glomeruli like glomerulonephritis or diabetes. 2. Urine infection such as cystitis/urinary tract infections. 3. Congestive heart failure, a first warning of eclampsia in pregnancy. 4. May be she tested concentrated urine samples (early morning), or if she have become dehydrated or haven’t drunk much. It is also better to check protein/creatinine ratio (PCR test). 5. Temporary proteinuria may occur after vigorous exercise or if she have a high fever. Hope this helped you! Thank You So Much! Please Rate this answer as you wish.(\"Thumbs Up\") .